5 4 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E O C T O B E R 2 0 1 5
ing nerve injury, but given that it bottoms out, it does not effectively protect skin
against pressure injuries.
There's been significant improvement in table mattress construction in recent
years. The latest versions are made from memory foam or gel-and-foam layers,
allowing the body to sink into them but still remaining supportive. This immer-
sion factor is what you're looking for in pressure redistribution. Also, they're
covered with material that features 4-way stretch. Traditional foam-and-vinyl
mattresses don't offer nearly as much support or give.
Layering linens on top of a table can reduce the effectiveness of its padding by
creating a hammock effect. Using sheets that give, such as those made from jer-
sey instead of stiff cotton, can help, as can minimizing the layers you put down.
Also, placing high-absorbency disposable underpads beneath surgical patients
can wick away the perspiration, irrigation and other moisture that leave skin vul-
nerable to moisture. And always reach for low-friction lateral transfer devices to
lift and not drag patients when moving them onto or off of the table.
OSM
E-mail dbernard@outpatientsurgery.net.
